| NPI | 1477748754 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUE GARDNER Billing Manager 989-249-8853 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2007-09-11 |
| Last Update Date | 2007-09-11 |